Registration

*** Click here to register an adult ***

Student's First Name:
Student's Family Name:
Date of Birth:
Cannot Swim Can swim with floats Can swim without floats Intermediate swimmer Advanced
Student's First Name:
Student's Family Name:
Date of Birth: Remove Child
Cannot Swim Can swim with floats Can swim without floats Intermediate swimmer Advanced
Student's First Name:
Student's Family Name:
Date of Birth: Remove Child
Cannot Swim Can swim with floats Can swim without floats Intermediate swimmer Advanced
Student's First Name:
Student's Family Name:
Date of Birth: Remove Child
Cannot Swim Can swim with floats Can swim without floats Intermediate swimmer Advanced
Add another child
Parent's Name:
Address:
Postcode:
Mobile/Handphone: *
2nd Contact Person:
2nd Contact Number:
Email : *
Confirm Email :
.
Medical Considerations:
Preferred day/time:


I confirm that I have read the Terms and Conditions of registration.